Individual provider · Type 1 NPI

Jennifer Marie Miles, LCSW

Clinical Social Worker · Pocatello, ID

NPI number 1083017578 Active

Practice location

1368 El Rancho Blvd
Pocatello, ID 83201-2808

Mailing address

1368 El Rancho
Pocatello, ID 83201-2803

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-35341 (ID)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083017578

Jennifer Marie Miles, LCSW's National Provider Identifier is 1083017578, issued on Sep 29, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 21, 2022.